iPad Damage Form
Utilize this form to document what happened to your iPad.
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Name: *
Address: *
Phone Number: *
iPad Serial Number: *
iPad Asset Tag Number: *
Date of Incident: *
Location of Incident: *
Name of Witness (if any present):
Describe the circumstances of your incident (in detail): *
Electronic Signature: *
By typing your name below, you attest that the statement and information above are true.
Do your parents know about this incident and your damaged iPad? *
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